SPINEINTERVENTION MEDICAL GROUP
NPI 1730337205
Pain Medicine - Interventional Pain Medicine in Fresno, CA

Active since September 08, 2008
6121 N THESTA ST, STE 106, FRESNO, CA 93710(559) 435-1846(559) 435-0127 Get Directions Write a Review

NPPES record last updated: September 8, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spineintervention Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINEINTERVENTION MEDICAL GROUP (NPI 1730337205) is a healthcare organization registered as an interventional pain medicine in Fresno, California and active in the NPI registry since September 2008. The organization lists William E Von Kaenel, Physician / Owner, as its authorized official.

NPPES Registry Identity

NPI1730337205
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSPINEINTERVENTION MEDICAL GROUP
Location Address6121 N THESTA ST, STE 106Fresno, CA 93710-8603
Mailing Address6121 N Thesta St, Ste 106Fresno, CA 93710-8603 · (559) 435-1846 · Fax (559) 435-0127
Fax(559) 435-0127
Organization SubpartNo
Authorized OfficialWilliam E Von KaenelPhysician / Owner · (559) 435-0177
Enumeration DateSeptember 8, 2008
✔ NPI 1730337205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in CA · G691640
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
6121 N THESTA ST, Fresno, CA 93710

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spineintervention Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Spineintervention Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pain Management
NPI 1336201011
6121 N THESTA ST STE. 106
Fresno, CA 93710
(559) 435-1846
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spineintervention Medical Group's NPI number?

The NPI number for Spineintervention Medical Group is 1730337205. It was assigned to this organization in the NPPES registry on September 8, 2008.

Where is Spineintervention Medical Group located?

Spineintervention Medical Group is located at 6121 N Thesta St Ste 106, Fresno, CA 93710. The listed phone number is (559) 435-1846.

What is Spineintervention Medical Group's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Spineintervention Medical Group enrolled in Medicare?

Yes. Spineintervention Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spineintervention Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Spineintervention Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spineintervention Medical Group was last updated on September 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.